Seeger A R, Rittenberg M H, Bagley D H
Department of Urology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
J Urol. 1988 Jun;139(6):1180-3. doi: 10.1016/s0022-5347(17)42853-9.
Ureteroscopy has been used for the treatment of calculi throughout the ureter. The results of ureteroscopic stone removal were reviewed in 100 patients. Similar results were compared in 30 patients undergoing ureterolithotomy and 32 treated by basket manipulation. Success of ureteroscopic removal was related to the location of the calculus: 50 per cent in the proximal, 80 per cent in the mid and 99 per cent in the distal ureter. Hospital stay, costs and narcotic analgesic use were significantly less for ureteroscopic stone removal than for open surgical lithotomy. The success rate for ureteroscopic removal of distal calculi (99 per cent) was higher than for blind basketing procedures (59 per cent). Ureteroscopy should be considered the technique of choice for the removal of distal ureteral calculi. It is an acceptable alternative for treatment of calculi throughout the urinary tract.
输尿管镜检查已被用于治疗整个输尿管的结石。回顾了100例输尿管镜取石术的结果。对30例行输尿管切开取石术的患者和32例采用网篮操作治疗的患者的类似结果进行了比较。输尿管镜取石术的成功率与结石位置有关：输尿管近端为50%，中段为80%，远端为99%。输尿管镜取石术的住院时间、费用和麻醉性镇痛药的使用明显少于开放性手术取石术。输尿管镜取出远端结石的成功率（99%）高于盲目网篮操作（59%）。输尿管镜检查应被视为取出远端输尿管结石的首选技术。它是治疗整个尿路结石的可接受替代方法。
